updates on strengthening civil registration and vital ...€¦ · priority vital events for the...
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UPDATES ON STRENGTHENING CIVIL REGISTRATION AND VITAL STATISTICS (CRVS) SYSTEMS
Tenth Investors Group MeetingMay 6, 2020Washington D.C.
Objectives of the update
Provide an overview of the status of CRVS systems
in GFF countries
Outline technical and financial support provided
for strengthening CRVS systems in GFF countries
Highlight GFF partnerships at country, regional
and global levels
Present case studies for Rwanda, Liberia and the
Democratic Republic of Congo
Strengthening CRVS for RMNCAH-N
▪ Priority vital events for the
GFF, linked to RMNCAH-N:
– Births, deaths and their
causes, and marriages
▪ Importance of CRVS for
RMNCAH-N agenda
– Availability of data for
planning, monitoring and
evaluation
– Protection of the rights of
women, children and
adolescents
– Administrative purposes
Status of CRVS:
Birth registrations for children <5 years
4
3 3
11 12
25 2632
40 42 42 4447 48
56 5661
64 66 66 67 67 6771 72 73 75 77 79 80 81 81
84 84
96 96 96
0
10
20
30
40
50
60
70
80
90
100
0
20
40
60
80
100
Eth
iop
ia (
DH
S, 2
01
6)
Som
alia
(M
ICS,
20
06
)
Zam
bia
(D
HS,
20
13
/14
)
Ch
ad (
DH
S, 2
01
4/1
5)
Lib
eria
(D
HS,
20
13
)
Tan
zan
ia (
DH
S, 2
01
0)
Uga
nd
a (D
HS,
20
16
)
De
mo
crat
ic R
epu
blic
of
Co
ngo
(M
ICS,
…
Pak
ista
n (
DH
S, 2
01
7/1
8)
Afg
han
ista
n (
DH
S, 2
01
5)
Zim
bab
we
(DH
S, 2
01
5)
Nig
eri
a (M
ICS,
20
16
/17
)
Mo
zam
biq
ue
(DH
S, 2
01
1)
Ban
glad
esh
(M
ICS,
20
19
)
Rw
and
a (D
HS,
20
14
)
Ce
ntr
al A
fric
an R
ep
ub
lic (
MIC
S, 2
01
0)
Nig
er
(DH
S, 2
01
2)
Mau
rita
nia
(M
ICS,
20
15
)
Cam
ero
on
(M
ICS,
20
14
)
Ind
on
esi
a (D
HS,
20
12
)
Ke
nya
(D
HS,
20
14
)
Mal
awi (
MIC
S, 2
01
4)
Gh
ana
(MIC
S, 2
01
7/1
8)
Cô
te d
’Ivo
ire
(MIC
S, 2
01
6)
Cam
bo
dia
(D
HS,
20
14
)
Gu
ine
a (M
ICS,
20
16
)
Bu
rkin
a Fa
so (
DH
S, 2
01
0)
Mad
agas
car
(MIC
S, 2
01
8)
Sen
egal
(D
HS,
20
15
)
Sie
rra
Leo
ne
(MIC
S, 2
01
7)
Mya
nm
ar (
DH
S 2
01
5/1
6)
Mal
i (M
ICS,
20
15
)
Hai
ti (
DH
S, 2
01
6/1
7)
Gu
ate
mal
a (D
HS,
20
14
)
Tajik
ista
n (
DH
S, 2
01
7)
Vie
tnam
(M
ICS,
20
13
/14
)
Per
cen
tage
With birth certificate Without birth certificate <5 birth registration
Status of CRVS:
Adolescents married by exact age 15 & 18
5
7 9 11 1115 16
19 19 21 23
29 29 30 30 31 31 31 32 32 34 35 36 3740 40 42
44 4550 51 51 52 53
67 68
76
0
20
40
60
80
Rw
and
a (D
HS,
20
14
)
Tajik
ista
n (
DH
S, 2
01
7)
Vie
tnam
(M
ICS,
20
13
/14
)
Ind
on
esi
a (D
HS,
20
12
)
Hai
ti (
DH
S, 2
01
6/1
7)
Mya
nm
ar (
DH
S 2
01
5/1
6)
Cam
bo
dia
(D
HS,
20
14
)
Gh
ana
(MIC
S, 2
01
7/1
8)
Pak
ista
n (
DH
S, 2
01
7/1
8)
Ke
nya
(D
HS,
20
14
)
Sen
egal
(D
HS,
20
15
)
De
mo
crat
ic R
epu
blic
of
Co
ngo
(M
ICS,
…
Sie
rra
Leo
ne
(MIC
S, 2
01
7)
Gu
ate
mal
a (D
HS,
20
14
)
Tan
zan
ia (
DH
S, 2
01
0)
Cam
ero
on
(M
ICS,
20
14
)
Zam
bia
(D
HS,
20
13
/14
)
Cô
te d
’Ivo
ire
(MIC
S, 2
01
6)
Zim
bab
we
(DH
S, 2
01
5)
Uga
nd
a (D
HS,
20
16
)
Afg
han
ista
n (
DH
S, 2
01
5)
Lib
eria
(D
HS,
20
13
)
Mau
rita
nia
(M
ICS,
20
15
)
Mad
agas
car
(MIC
S, 2
01
8)
Eth
iop
ia (
DH
S, 2
01
6)
Mal
awi (
MIC
S, 2
01
4)
Nig
eri
a (M
ICS,
20
16
/17
)
Som
alia
(M
ICS,
20
06
)
Mal
i (M
ICS,
20
15
)
Gu
ine
a (M
ICS,
20
16
)
Ban
glad
esh
(M
ICS,
20
19
)
Bu
rkin
a Fa
so (
DH
S, 2
01
0)
Mo
zam
biq
ue
(DH
S, 2
01
1)
Ch
ad (
DH
S, 2
01
4/1
5)
Ce
ntr
al A
fric
an R
ep
ub
lic (
MIC
S, 2
01
0)
Nig
er
(DH
S, 2
01
2)
Per
cen
tage
Married by 18 years Married by 15 years
Number of officials trained, monitored and supervised in CRVS processes
Improved governance and public administration services
Train and build capacity of health and CRVS officials; supervise and monitor
Improved health and socio-economic status of women, children and adolescents
Number of functioning CR service delivery points
Build new (incl. mobile) and/or renovate CRVS offices3
Procure equipment and registration documents for health and CR offices
Review organ. structure
Recruit additional CRVS staff
Activities Outputs
Improved geographic accessibility a to civil registration services
Short-term outcomes
Increased registration completeness of births, deaths and causes of death and marriages
Strengthened human rights and privileges for children, women and adolescents
Adopt international standards and review CRVS-related legislation and documents (forms, cert.)
Revise CRVS business processes
ImpactInputs
CRVS resources and partnerships mapping
Financial resources- IDA (incl.
P4R, RBF)- GFF TF- Domestic
resources
Human resources
International standards
CRVS assessment reports and strategic plans
CRVS national steering committee and/or CRVS technical working groups
Collaboration with partners
Establish electronic CRVS system and digitize historical records
Number of secure CR service delivery points
Improved efficiency and standards in provision of CRVS services
Increased number of the public and officials (gov., DPs, private sector) with knowledge of CRVS
Improved knowledge on CRVS
Undertake advocacy and awareness raising activities
Undertake research on CRVS
Theory of change
Revised CRVS processes, CRVS-related laws and standardized CRVS documents
Electronic / modernized CRVS system
Safeguard storage and transfer of CR documents
Medium-term outcomes
Improved quality (accuracy, timeliness, relevance and comparability) of CRVS data Improved availability and
use of statistics on births, deaths and causes of death for planning and monitoring of programs
Key CRVS priorities in ICs and/or WB projects
COMMON CRVS FOCUS AREAS COUNTRIES
Expanding civil registration servicesCameroon, DRC, Kenya, Uganda, Liberia,
Madagascar, Rwanda, Uganda
Recording of causes of death and
application of the International
Classification of Diseases
Kenya, Madagascar, Mali. Mozambique,
Uganda, Vietnam
Computerization, digitization, maintenance
of databases
Cameroon, Burkina Faso, DRC, Guinea,
Kenya, Liberia, Madagascar, Mozambique,
Nigeria, Rwanda, Senegal, Sierra Leone
Stakeholder engagements and coordinationDRC, Guinea, Kenya, Liberia, Madagascar,
Sierra Leone, Senegal
Financing for CRVS through GFF/WB
8
▪ Contribution of CAD100 million to the GFF Trust Fund from the
Government of Canada
▪ GFF Trust Fund linked to IDA/IBRD, determined at country level
▪ Other World Bank financing instruments adopted for CRVS
– Results-based financing
– Program for results
– Advisory Services and Analytics
▪ Contribution of CAD16 million to the Centre of Excellence for
CRVS systems from the Government of Canada
– Technical assistance to countries, global standards, tools, research
evidence, and document relevant good practices
Examples of collaboration with partners
▪ Design and implementation support of
CRVS
– Uganda, Senegal, Ethiopia, Mozambique,
Tanzania
▪ Training and capacity building in death
registration and cause-of-death recording
– Country-specific (Uganda, Liberia)
– Regional: Vietnam (including Cambodia,
Indonesia, Liberia and other non-GFF)
▪ Linking immunization with birth
registration
– Liberia, Ethiopia, Kenya
CRVS Global Goods
10
▪ Resources Library is a “one-stop-shop” for online
learning tools, standards, good practice
publications, and other knowledge resources
developed for different audiences by CRVS
stakeholders
▪ Directory of Experts to connect those looking for
technical support with relevant expertise and
support.
▪ Online glossary of CRVS systems, providing
terms and definitions used globally in the CRVS
community of practice
New publications
▪ Country profiles of CRVS systems are being developed in
English and French. Profiles of 12 GFF-supported countries
have been published
▪ Knowledge Brief Series on Gender and CRVS
▪ Compendium of Good Practices in Linking CRVS and Identity
Management Systems
▪ Revised the Handbook on CRVS and Identity Management
systems: Communication for development
▪ The Nexus between Civil Registration and Social Protection
Systems: Five Country Practices
11
Country case studies
CRVS strengthening through the health
sector: Liberia
▪ CRVS prioritized in IC and US$1million allocated from GFF TF
▪ Partners: Gavi, UNICEF, WHO, Plan Liberia
▪ Priority areas:
– Decentralization of CR services (establish services in health facilities, staff,
equipment)
– Standardization of collection tools and business processes
– Development and integration of electronic systems
– Training and capacity building
– Awareness raising campaigns
– Monitoring and supervision (motorcycles)
▪ Areas of further improvement:
– Promoting death registration and recording of causes of death,
– Expansion of CR services to cover more districts and health facilities
CRVS strengthening through the health
sector: Liberia
0
25,000
50,000
75,000
100,000
125,000
150,000
175,000
200,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Nu
mb
er o
f b
irth
s
Year of registration
Central County
Number of births registered by year: Liberia, 2010–2019
▪ Results
CRVS strengthening through social
protection: Rwanda
▪ CRVS prioritized in the IC (National ECD Program Strategic Plan)
▪ US$3million allocated from GFF TF; US$6.5million from the
Government
▪ Discussions underway to include the expansion of CRVS in
forthcoming Social Protection operations to be financed by IDA
▪ Priority areas: birth registration, certification, issuance of unique
number at birth
– Supports implementation of nutrition-sensitive direct support conditional cash
transfers for pregnant women and mothers with children <2 years
– Uniquely identify children, linked to their mothers to access the NSDS
– Interoperability of civil registration, national ID, health and social protection
information systems
CRVS strengthening through social
protection: Rwanda
▪ Activities supported:
– Revision of the Law of Persons and Family, which would allow registration in
health facilities
– Digital birth and death registration modules completed + other vital events
– Issuance of National Identification Number for children at birth approved
– Training and capacity building
– Social and behavior change communication interventions
▪ Areas of further improvement:
– Increase completeness of death registration and recording of causes of death
specifically for deaths that occur in communities
CRVS strengthening through the
education sector: DRC
▪ CRVS prioritized in the IC
▪ US$10million from GFF TF & US$10 million from IDA for CRVS
▪ Financed through Human Development Systems Strengthening
Project
– CRVS strategic plan
– Increase birth registration and certification through catch-up campaigns in
schools
– Serve to collect data for the student registry, to be established as part of the
Education Management Information System
– Multisectoral approach involving ministries of Primary, Secondary and
Vocational Education; Interior and Security; Justice; and Health.
CRVS strengthening through the
education sector: DRC
▪ Registration processes:
– Staff from the CR office are incentivized to:
o Collect the necessary information during school registration
o Deliver the birth certificates to the schools once they are issued
– Project pays for a special court judgment to facilitate registration
after 90 days
– Electronic CR system (for urban and for rural settings)
– Training and capacity building
▪ Areas of further improvement:
– Expansion to the whole country
Concluding remarks
19
▪ The GFF has extended support for CRVS strengthening to many
countries, with more encouraged to increase their allocation of
resources for CRVS
▪ Contributed to the development of standards, tools, research
evidence, and documented good practices for the CRVS
community
▪ There has been close collaboration with partners at the country,
regional and global levels to provide support to GFF countries
▪ Notable strides have been made by several countries in
strengthening CRVS systems
▪ Further coordination, collaboration and alignment of resources
required by all partners to help countries to build well-functioning
and sustainable CRVS systems.
GFF Members of the Investors Group
20
Learn more
www.CRVSsystems.ca
@ IDRC _CRDI